Healthcare Intake Specialist - Hybrid/Remote

WPS Health Solutions; Minneapolis (MN); Hybrid; USD 23,000 - 32,000; Full time

Benefits offered by this job

Remote/hybrid work options

Performance bonus or merit increase

401(k) with company match

Job summary

WPS Health Solutions is seeking an Intake Specialist to manage inbound and outbound communications, support prior authorizations and claims processing, and ensure accurate intake and routing of cases. The role emphasizes compliance, documentation, and customer service in a healthcare environment.

The position offers hybrid work two days per week near Madison, WI, with remote work allowed in a broad set of states.

Qualifications

• Two (2) or more years in healthcare, insurance, or medical office environment; includes provider/patient communication.
• Strong verbal and written communication; able to document calls and explain authorization/denial status.
• Ability to multitask in high-volume, fast-paced workflows.
• Detail-oriented with strong organizational skills.
• Analytical thinking and problem-solving能力.
• Proficient use of PC with standard software programs.

Responsibilities

• Serve as first point of contact for inbound/outbound calls and route inquiries.
• Initiate prior authorization cases by collecting demographics and verifying eligibility.
• Accurately document all interactions in required systems within timeframes.
• Triage and assign cases to clinical staff per guidelines.
• Index and manage clinical documentation in authorization platforms.
• Process claims and support appeals and authorization workflows.
• Draft and issue approval/denial letters within defined timelines.
• Respond to voicemails and follow up with providers and customers.
• Research and resolve inquiries, including risk tasks and service tickets.
• Coordinate with cross-functional teams and monitor audit findings for quality.

Skills

Healthcare experience

Communication skills

Multitasking

Detail-oriented

Analytical thinking

PC proficiency

Education

High School Diploma or GED

Job description

WPS Health Solutions is seeking an Intake Specialist to manage inbound and outbound communications, support prior authorizations and claims processing, and ensure accurate intake and routing of cases. The role emphasizes compliance, documentation, and customer service in a healthcare environment.

The position offers hybrid work two days per week near Madison, WI, with remote work allowed in a broad set of states.